Julie G. Duquette M.D. a Medical Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11780 Issued in CA

Legal business name

JULIE G. DUQUETTE M.D. A MEDICAL CORPORATION

Practice address

2043 Westcliff Dr
Suite 302
Newport Beach, CA 92660-5537

Phone

(949) 515-3462

Fax

(949) 515-4279

NPI assigned

Sep 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julie Gay Duquette, M.D.NPI 1659471498

Title

President, Laboratory Director

Phone

(949) 515-3462

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Gay Duquette, M.D.

  • Dermatopathology (Pathology) Physician
  • Newport Beach, CA
  • NPI 1659471498
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1801996582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 WESTCLIFF DR",
            "address_2": "SUITE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605537",
            "telephone_number": "949-515-3462",
            "fax_number": "949-515-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 WESTCLIFF DR",
            "address_2": "SUITE 302",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605537",
            "telephone_number": "949-515-3462",
            "fax_number": "949-515-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE G. DUQUETTE M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "DUQUETTE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "PRESIDENT, LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "949-515-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1010850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LABORATORY LIC",
            "identifier": "CLF 11780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alejandra Juarez Alvarez
• Ailene Andal Juarez, MPT, DPT
• Cambria Anne Judd, M.D.
• Judith Glickman Zevin, Psy.D., Marriage and Family Therapy, Inc.
• Chad Michael Julian, DPT
• Julie Ralls, M.D., Inc.
• Julie Stefanski, D.C., Chiropractic Corporation
• Julio H Flores M D Inc
• Eok Jun, PHARM.D.
• Vera Juncaj

• Clinical Medical Laboratory in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.